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[PDF File]TINETTI BALANCE ASSESSMENT TOOL - Welcome to CHHD …
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Uses arms or not a smooth motion = 1 Safe, smooth motion = 2 Balance score /16 /16. TINETTI BALANCE ASSESSMENT TOOL GAIT SECTION Patient stands with therapist, walks across room (+/- aids), first at usual pace, then at rapid pace. Risk Indicators: Tinetti Tool Score Risk of Falls
[PDF File]RECOMMENDATION FOR AWARD - United States Army
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[PDF File]Edinburgh Postnatal Depression Scale (EPDS)
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Not very often *3. I have blamed myself unnecessarily when things No, not at all went wrong Yes, most of the time *8 I have felt sad or miserable Yes, some of the time Yes, most of the time Not very often Yes, quite often No, never Not very often No, not at all 4. I have been anxious or worried for no good reason
[PDF File]The Mood Disorder Questionnaire (MDQ) - Overview
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The MDQ is best at screening for bipolar I (depression and mania) disorder and is not as sensitive to bipolar II (depression and hypomania) or bipolar not otherwise specified (NOS) disorder. Population /type Sensitivity & Specificity Out-patient clinic serving primarily Sensitivity 0.73 a …
[PDF File]2018 Form 4797
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If line 7 is zero or a loss, enter the amount from line 7 on line 11 below and skip lines 8 and 9. If line 7 is a gain and you didn’t have any prior year section 1231
[PDF File]USDA Rural Development
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hb - 1 - 3555, appendix 5 guaranteed housing program income limits state:alabama ----- a j u s t e d i n c o m e l i m i t s -----p r o g r a m 1 person 2 person 3 person 4 …
[PDF File]Patient Health Questionnaire (PHQ-9)
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PHQ-9 Patient Depression Questionnaire For initial diagnosis: 1. Patient completes PHQ-9 Quick Depression Assessment. 2. If there are at least 4 3s in the shaded section (including Questions #1 and #2), consider a depressive
Nutritional Information & Facts Download | Zaxby's
Zaxby’s® Guests: All ingredient and allergen information was obtained from product vendors. Zaxby’s cannot guarantee our foods are 100% allergen free. We use shared equipment during food preparation which could result in the cross-contact of allergens. Additionally,
[PDF File]VERIFICATION OF VEHICLE IDENTIFICATION NUMBER
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• Was not stolen, • The dealership has a sure and adequate title to the vehicle; and • The dealership has the right and authority to sell and transfer this vehicle. Dealer Agent (printed name) Dealer Agent Signature Date (*Out of state law enforcement, military police or commanding officer) DR 2698 (06/15/18) COLORADO DEPARTMENT OF REVENUE
[PDF File]Form SSA-89 (02-2018) Discontinue Previous Editions Page 1 ...
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You do not need to answer these questions unless we display a valid Office of Management and Budget control number. We estimate that it will take about 3 minutes to complete the form. You may send comments on our time estimate above to: SSA, 6401 Security Blvd., Baltimore, MD 21235-6401.
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